Natalie

This is not a real Serostim® patient. This scenario is intended to represent one possible experience with HIV-associated wasting. Individual experiences may vary widely. If you are living with HIV and experiencing symptoms of HIV-associated wasting, speak with your healthcare provider about options that may be available to you.

About 10 years ago, Natalie, 45, found out that she was HIV-positive.  Natalie is married, and she works as an executive at a technology company.  She does not smoke, but likes to have an occasional drink.  For fun, she spends time enjoying outdoor activities with her husband and friends.  

Natalie began taking antiretrovirals when she was first diagnosed, and the virus has been managed since then.   

A few weeks back, Natalie scheduled a visit with her doctor because she has been losing weight without trying, is noticing loss of muscle mass, and gets tired easily, whether at work, at home, or at play. She asked her doctor if her trouble keeping up with her usual activities is the result of a busy work schedule and her social life or if it was HIV-related. She also asked if her weight dropping 15 pounds, down to 135 pounds over the past 18 months, and a loss of muscle tone are related to her symptoms.  

When Natalie’s doctor examined her, he was concerned when he noticed the loss of weight and muscle tone, and she exhibited a lack of energy. Her doctor determined that Natalie’s virus was still controlled, and there weren’t any active cancers or infections.     

To address HIV-associated wasting that was diagnosed by symptoms of unintentional weight loss, loss of lean body mass, and poor endurance, her doctor prescribed Serostim®.

Marcus’ Treatment Story

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Dylan’s Treatment Story

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Important Safety Information and Indication

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You should not take Serostim® if you have:

  • A critical illness from surgery, serious injuries, or a severe breathing problem
  • Cancer or undergoing treatment for cancer
  • Eye problems caused by diabetes
  • Allergies to growth hormone or other ingredients in Serostim® vials

What is the most important information I need to know about Serostim®?

  • For patients with critical illness caused by certain types of heart or stomach surgery, serious injury or a sudden and severe breathing problem, there was an increase in death in those treated with Serostim® compared to those patients not treated with Serostim® (42% vs 19%).
  • You must be on antiretroviral therapy.
  • Cancer is more common in people living with HIV.
  • If you have, or are at high risk for, type 2 diabetes or have higher than normal blood sugar, talk to your doctor.
  • Tell your doctor if you have changes in vision, headache, nausea, and/or vomiting which may be signs of increased brain pressure.
  • Seek prompt medical attention if you have an allergic reaction while taking Serostim®.
  • You may have swelling, especially in the hands and feet, as well as discomfort in bones, joints, and muscles. This may lessen with analgesics or talk to your doctor about reducing Serostim® dosing frequency.
  • Carpal Tunnel Syndrome may occur, talk to your doctor about reducing the number of Serostim® doses in a week. If not resolved, treatment should be stopped.
  • If you have severe abdominal pain (possibly pancreatitis), call your doctor.

What are the most common side effects of Serostim® reported in clinical trials in patients treated for HIV‑associated wasting or cachexia?

  • Swelling, especially in the hands or feet or around the eyes
  • Bone, muscle, and joint pain or stiffness
  • Tingling, numbness and pain in the fingers, thumb or wrist
  • Unusual skin sensations
  • Breast enlargement in men
  • Nausea
  • Extreme tiredness

Other less common but serious side effects of Serostim® are:

  • High blood sugar (hyperglycemia/diabetes) which can include symptoms of increased thirst and urination, tiredness, or trouble concentrating.
  • Headaches, changes in vision, nausea or vomiting, which require immediate medical attention.
  • Serious allergic reactions that require immediate medical attention.
  • Pain and tenderness in the abdomen.

These are not all the possible side effects. Let your doctor know about any side effects you experience. Talk to your doctor or pharmacist about the following before taking Serostim®

  • If you are taking any other medicines (prescription or over the counter), vitamins, or supplements as these may affect each other. Your doctor may need to adjust the dose of Serostim® or other medicines you are taking.
  • Serostim® should be used during pregnancy only if clearly needed.
  • Caution should be used in nursing mothers as it is unknown if Serostim® is passed in human milk.
  • Safety and effectiveness in pediatric HIV patients have not been established.
  • Unknown if HIV patients ≥ 65 years of age have a different response to Serostim® than those <65 years of age.

How should you administer Serostim®?

Patients and caregivers should be trained by a healthcare professional on how to mix and inject Serostim® prior to use. Never share Serostim® with another person, even if the needle is changed. Injection sites can include arms, legs, abdomen and should be changed daily to avoid injecting Serostim® in areas that are sore or bruised.

What is Serostim® (somatropin) for injection?

Serostim® is an injectable prescription medicine used for the treatment of HIV‑positive patients with wasting or cachexia to increase lean body mass and body weight, and improve physical endurance. Treatment with antiretroviral therapy at the same time is necessary.

You are encouraged to report possible side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. You can also contact EMD Serono at 1-800-283-8088 ext. 5563

Please see the full Prescribing Information for complete information on Serostim® risks.

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